An Ecological Approach to Reducing the Social Isolation of People With an Intellectual Disability

An ecological approach to understanding insecure attachments and social isolation among people with an intellectual disability is constructed using Gibson's (1979/1986) affordance-based theory. Although environmental affordances and individual limitations interact to limit the development of social competence, we believe that by focusing on the immediate environment, community-based approaches to helping people with an intellectual disability are often ignored, which increases the burden on individual caregivers. A more comprehensive strategy, which extends Gibson's theory of affordances, allows us to consider how higher level social systems influence the immediate environment and provides the context for understanding why successful change occurs when a multifaceted, holistic approach that works on several levels is adopted. Examining these systems within an ecological framework fundamentally redefines our thinking by shifting the focus from a person's disability to a more nuanced understanding of a person's abilities within the context of appropriate environmental supports in which the person's disability becomes less salient.     

Applied sport psychology: A view from britain

Abstract

Based on the findings of a field study with youth sport coaches, contextual factors in youth sport arc considered. Youth sport is discussed as a “developmental intervention” (Birkel, Lerner, &; Smyer, 1989). Although past research has examined a variety of issues in youth sport (e.g., coaching behavior, participation motivation), the dynamics of the context have been largely ignored. It is argued that situational factors may have important implications for the quality of children's youth sport experiences. Data arc presented to show the significance of contextual factors in coaches' experiences. Examples of previous interventions aimed at manipulating contexts arc offered and suggestions for future interventions, based on the present study, arc discussed. The roles of parents. spectator location. rules, and time are discussed in detail.     

Inside Out: The State of the Analyst and the State of the Patient

This paper presents my work with a man before and after my undergoing an emergency, life-threatening surgical episode, and subsequent experience of living with a temporary colostomy, that shifted me to a more ungrounded, bodily aware, vulnerable, nonlinear, spontaneous and risk-taking, and affectively intensified “right brain” state. My story represents one instance of how the contingent nature of the analyst's life and existential exposure, and the various chancy life circumstances governing the analyst's self-state, may constitute an impingement on clinical process with potential for inadvertent positive or negative impact on the therapeutic relationship and work. Much has been written about the causes and consequences of shifts in the analyst's self-state induced within the relational dynamics of the transference-countertransference matrix. Here I specifically consider that side of the intersubjective therapeutic equation generated by the effects of the analyst's own state on the patient and the dyad's interactive process.     

Applications,Implications, Complications: Reply to Reviews by Elkind,Gerson, and Levine

The author appreciates the careful reading and thoughtful reviews by Sue Elkind, Sam Gerson, and Howard Levine. Elkind's review particularly captures and articulates many of the key ideas in the book Building Bridges: The Negotiation of Paradox in Psychoanalysis and creatively applies concepts of negotiation, paradox, an inherently multiple “distributed self,” and metaphor in her own work consulting on treatment impasses. Gerson incisively focuses on the core idea of recognizing, accepting, and bridging differences and contradictions in personal, and national, perspectives; he also articulates an understanding of the attempt of relational analytic writers to bridge the intrapsychic and the interpersonal with due recognition of each. The author replies extensively to Levine's comparison of Pizer's work with that of Semrad and other “classical” analysts and challenges Levine's premise that a relational perspective, grounded as it is in a two-person contextual psychology, ignores or devalues interpretation, insight, free association, and autonomous mental functioning. Quoting from clinical material in his book, Pizer presents the outcome of a “relational” analysis in terms of the patient's increased access to internal “potential space,” unconscious experience, curiosity, and reflectiveness about the mental life of self and other, and an increased ability to value personal experience in relationship and in solitude.     

Is Memory for Head Orientation Based on a Left-Looking Schema?

Research has shown that people misremember right-looking heads on coins as facing to the left, suggesting a general memory schema that favors left-lookers. This hypothesis was investigated in a study of 241 subjects in three experiments who were shown photographs of faces looking to the left, to the right, or at the observer and were later asked to identify whether each one had subsequently been left-right reversed. Also, in Experiments 2 and 3, respectively, initial judgments of liking and of orientation were obtained. Unexpectedly, orientation memory accuracy was lower after a 5-s exposure than after a 1-s exposure, and after initial judgments of lateral orientation than after judgments of liking. Although the difference between left- and right-lookers was significant in only 2 of 14 comparisons, aggregated data showed that identification accuracy was generally higher for left-lookers, with a mean effect size of 0.16. Although small, this difference is consistent with the hypothesis of a left-looking schema for heads.     

Motor Programming Is Not the Only Process Which Can Influence RT

The current status of research on the memory drum theory is evaluated with emphasis on the issues raised by Marteniuk and MacKenzie (1981). A general theme emerging from this review is that response programming is not the only process which can influence RT and that distinguishing programming from non-programming effects clarifies rather than “clouds? the issues.     

Haloperidol-induced Mood and Retrieval of Happy and Unhappy Memories

The present study investigated the effect of haloperidol-induced mood in normal healthy male volunteers on the retrieval of memories of real-life personal experiences using a between-subjects double-blind design. Forty subjects were required to retrieve past real life experiences associated with a series of stimulus words following administration of a single oral dose of 5mg haloperidol or placebo. The experiences were subsequently rated by subjects for their happiness felt at the time of the original experience. A significant decline in self-reported hedonic tone was observed in subjects given haloperidol. In addition, subjects on placebo recalled a significantly greater percentage of happy memories than subjects who were on haloperidol; a trend for a reverse pattern was observed for unhappy memories. The effects of the drug on the retrieval of memories were only in part mediated by the decline in hedonic tone scores. The effects of haloperidol are interpreted in terms of drug-induced dysphoria.     

Prevalence and Risk Factors Associated With Suicides of Army Soldiers 2001–2009

Prevalence and risk factors associated with soldiers' suicides 2001–2009 (N = 874) were examined. Army suicide rates increased from 9 per 100,000 in 2001 to 22 per 100,000 in 2009. Soldier suicides were lower than civilians from 2001 to 2007, but higher than civilians after 2007. Army suicides were disproportionately higher for men, deployment experience, and a history of a mental health diagnosis/treatment; and lower for African Americans. Many involved planning (38%), communication (21%), alcohol (19%), or drugs (8%). Many had legal problems (31%), high stress loads (90%), a history of self-injury (10%), and other contributing factors prior to entry into the Army (31%). Implications for understanding suicide among military personnel are discussed.     

Matching Methods for Selection of Participants for Follow-Up

This work examines ways to make the best use of limited resources when selecting individuals to follow up in a longitudinal study estimating causal effects. In the setting under consideration, covariate information is available for all individuals but outcomes have not yet been collected and may be expensive to gather, and thus only a subset of the comparison participants are followed. Expressions in Rubin and Thomas (1996) Rubin, D. B. and Thomas, N. 1996. Matching using estimated propensity scores, relating theory to practice.. Biometrics, 52: 249–264. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] show the benefits that can be obtained, in terms of reduced bias and variance of the estimated treatment effect, of selecting comparison individuals well matched to those in the treated group compared with a random sample of comparison individuals. We primarily consider nonexperimental settings but also consider implications for randomized trials. The methods are illustrated using data from the Johns Hopkins University Baltimore Prevention Program, which included data collection from age 6 to young adulthood of participants in an evaluation of 2 early elementary-school-based universal prevention programs.     

The lived experiences of people diagnosed with multiple sclerosis in relation to exercise

The purpose of this study was to examine the lived experiences of people diagnosed with Multiple Sclerosis (MS). Seven active exercisers with MS participated in semi-structured interviews regarding their exercise experiences since diagnosis. Data were analysed using Interpretative Phenomenological Analysis (IPA; Smith?&?Osborn, 2003 Smith, JA and Osborn, M. 2003. “Interpretive phenomenological analysis”. In Qualitative psychology: A practical guide to research methods, Edited by: Smith, JA. 51–80. London: Sage.  [Google Scholar]). Interpretive Phenomenological Analysis. The results and interpretations of narratives revealed a number of functional limitations due to the severity of MS symptoms, which were found to have a major effect on the ability of the participants to exercise. Furthermore, psychological problems and the heightened behavioural adjustments to the progressive disability led to re-appraisal of ability to exercise. Previous, relevant exercise experience made participants more determined to continue to be able to exercise after diagnosis. The wider exercise experience narratives were related to concerns about safety, dependability on others to overcome the challenges, and potential environmental hazards. The loss of spontaneous opportunities to exercise because of these actual and perceived barriers was key to this population. This research highlighted the need to rethink the health and social service arrangements in relation to exercise provision for individuals with MS.